Brief intervention for harm reduction with alcohol-positive older adolescents in a hospital emergency department.

Abstract

This study evaluated the use of a brief motivational interview (MI) to reduce alcohol-related consequences and use among adolescents treated in an emergency room (ER) following an alcohol-related event. Patients aged 18 to 19 years (N = 94) were randomly assigned to receive either MI or standard care (SC). Assessment and intervention were conducted in the ER during or after the patient's treatment. Follow-up assessments showed that patients who received the MI had a significantly lower incidence of drinking and driving, traffic violations, alcohol-related injuries, and alcohol-related problems than patients who received SC. Both conditions showed reduced alcohol consumption. The harm-reduction focus of the MI was evident in that MI reduced negative outcomes related to drinking, beyond what was produced by the precipitating event plus SC alone.

Cost-effectiveness of screening and referral to an alcohol health worker in alcohol misusing patients attending an accident and emergency department: A decision-making approach

“…Attempts to conduct a randomised trial of brief intervention in an AED have proved difficult (Peters et al, 1998), although evidence is accumulating that brief intervention for alcohol misuse in AEDs may have clinical benefit (Longabaugh et al, 2001;Monti et al, 1999;Wright et al, 1998). In a recent study, opportunistic identification and referral to an alcohol health worker (AHW) in an AED was demonstrated to be feasible and associated with lower levels of alcohol consumption over the following year (Crawford et al, 2004).…”

Motivational enhancement therapy for adolescent marijuana users: A preliminary randomized controlled trial.

“…MET provides personalized feedback on substance use in combination with a motivational interviewing counseling style (Miller & Rollnick, 2002). MET has been found to be an effective approach to reducing marijuana use in adults (Marijuana Treatment Project Research Group, 2004;Stephens, Roffman, & Curtin, 2000) and has demonstrated promise with adolescent substance abusers (Aubrey, 1997;Colby et al, 1998;Monti et al, 1999).…”

Efeitos da entrevista motivacional em adolescentes infratores

“…No entanto, Monti et al (1999) obtiveram um índice de dropout de 11% em seu estudo, mais baixo que nos outros citados. O motivo para esta diferença deve estar no fato de que os participantes recebiam para o primeiro follow-up U$10 e, para o segundo follow-up, U$15.…”

“…A EM tem se mostrado aplicável e efetiva (Dunn, Deroo & Rivara, 2001;Miller et al, 2003) em diversos comportamentos e na mudança dos estágios motivacionais (Heather, Rollnick, Bell & Richmond, 1995), na aderência ao processo terapêutico (Daley & Zuckoff, 1998;Lincourt, Kuettel & Bombardier, 2002), na adesão a dietas (Berg-Smith et al, 1999), na redução do uso de álcool (Borsari & Carey, 2000;Monti et al, 1999;Oliveira, 2001;Project Match Research Group, 1997), na redução do uso de maconha (Stephens, Roffman & Curtin, 2000;Stephens, Roffman, Fearer, Williams & Picciano, 2004), na redução do uso de cocaína (Donavan, Rosegren, Downey, Cox & Sloan, 2001), na redução do uso de anfetaminas (Baker, Boggs & Lewin, 2001), na cessação do uso de tabaco (Brown et al, 2003;Butler et al, 1999;Colby, 1998;Rodriguez, 2003;WHO 1996) e em pacientes com diabetes (Burke et al, 2002;Channon, Smith & Gregory, 2003). Comparada com o não-tratamento e com o uso de placebo, a EM foi superior em comportamentos envolvendo álcool, drogas, dietas e exercícios (Burke et al, 2003).…”